Medical Professional Healthcare Woodside P.C.
NPI 1124781398 · Primary Care Clinic/Center · Woodside, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical Professional Healthcare Woodside P.C. is a Primary Care Clinic/Center organization in Woodside, NY (NPI 1124781398).
Provider details
- NPI number
- 1124781398
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shahida Khan, Ceo(718) 550-2273
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medpro
- Doing business as
- Medpro
Registry dates
- Enumerated
- 2021-10-14
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Frequently asked questions
- What is Medical Professional Healthcare Woodside P.C.'s NPI number?
- Medical Professional Healthcare Woodside P.C.'s National Provider Identifier (NPI) is 1124781398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Professional Healthcare Woodside P.C.?
- Medical Professional Healthcare Woodside P.C. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medical Professional Healthcare Woodside P.C. located?
- Medical Professional Healthcare Woodside P.C.'s practice location on file with NPPES is 6527 Roosevelt Ave # 1a, Woodside, NY 11377-2927.
- What is Medical Professional Healthcare Woodside P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Medical Professional Healthcare Woodside P.C. is (718) 550-2273.
- Does Medical Professional Healthcare Woodside P.C. accept Medicare?
- Medical Professional Healthcare Woodside P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medical Professional Healthcare Woodside P.C.?
- The authorized official listed on Medical Professional Healthcare Woodside P.C.'s NPPES record is Shahida Khan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Professional Healthcare Woodside P.C.'s NPI active?
- Yes — Medical Professional Healthcare Woodside P.C.'s NPI (1124781398) is active in the NPPES registry as of the last update on 2024-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.